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发展中国家采购尸体的黑暗时代:尼日利亚调查。

Dark age of sourcing cadavers in developing countries: a Nigerian survey.

机构信息

Department of Anatomy, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.

出版信息

Clin Anat. 2011 Oct;24(7):831-6. doi: 10.1002/ca.21187. Epub 2011 Aug 3.

DOI:10.1002/ca.21187
PMID:21815217
Abstract

Throughout the history of medical science, the sourcing, storage, and management of cadavers for the study of gross anatomy have been problematic issues. As presented in this report, a study of these issues was conducted in the departments of anatomy of medical schools in Nigeria. To establish the extent and depth of the prevailing difficulties in the sourcing of cadavers, 18 (62.1%) of the Departments of Anatomy that qualified for this study were used. In sum, 94.4% of these schools reported an inadequate number of cadavers for study. The estimated ages of the cadavers were between 20 and 40 years and 85% of the schools reported more than 75% of the cadavers to be from the lower socioeconomic class. Altogether, 94.4% of the schools reported a male dominance of more than 95%. More than 72% of the schools reported that more than 90% of the cadavers were criminals that had been killed by shooting, less than 10% were unclaimed and unidentified corpses, and 0% originated from body bequest. No form of screening exercises for diseases and infective microorganisms was noted for all the schools, and there were no set standards for the acceptance or rejection of cadavers. Causative factors for the profile of available cadavers such as culture and religion were noted. This study was designed to look at various issues associated with the sourcing of cadavers for Anatomy education in typical developing African countries like Nigeria. As outlined in this report, the creation of legislation and the promotion and funding of programs highlighting the importance of body donation are crucial for improving the field of medical education.

摘要

纵观医学科学的历史,为研究大体解剖学而获取、储存和管理尸体一直是存在问题的。正如本报告所述,对这些问题的研究是在尼日利亚医学院解剖学系进行的。为了确定获取尸体方面普遍存在困难的程度和深度,本研究使用了符合条件的 18 个(62.1%)解剖学系。总的来说,这些学校中有 94.4%报告说用于研究的尸体数量不足。尸体的估计年龄在 20 岁至 40 岁之间,85%的学校报告说超过 75%的尸体来自社会经济地位较低的阶层。总的来说,94.4%的学校报告说男性占比超过 95%。超过 72%的学校报告说,超过 90%的尸体是被枪杀的罪犯,不到 10%是无人认领和身份不明的尸体,0%是来自遗体捐赠。所有学校都没有对疾病和感染性微生物进行任何形式的筛查,也没有接受或拒绝尸体的既定标准。还注意到了与为解剖学教育获取尸体相关的各种因素,如文化和宗教。本研究旨在探讨与在尼日利亚等典型非洲发展中国家为解剖学教育获取尸体相关的各种问题。正如本报告所述,制定立法和宣传和资助强调遗体捐赠重要性的计划对于改善医学教育领域至关重要。

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